| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $1,275.00 | $1,275.00 | $3,239.00 |
Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $1,275.00 | $1,275.00 | $3,239.00 |